Juniper Publishers-Open Access Journal of Surgery

  Journal of Surgery -  JuniperPublishers Emergency Medical Service (EMS) is one of the health professions that society requires. EMS involves the use of certain emergency medications to save lives. Therefore, EMS providers (paramedic) should acquire sufficient training in medication administration. A part of the training focuses on the knowledge of medications, indications for use, contraindications (side effects), and dosing skills considering the type of disease, concentration of medication, age, or weight of the patient. A student who is trained to be a paramedic should be adequately skilled to properly calculate the dosage of medications. This study aims to determine the paramedic students’ ability and its progress in medication calculation while studying in EMS program in Prince Sultan Bin Abdulaziz College for EMS (PSCEMS), King Saud University (KSU), Riyadh, Saudi Arabia. Literature Review A few research art...

Journal of Surgery -  JuniperPublishers The History of Platelet Rich Fibrin (hemocomponents) started in 1970, when Matras described a fibrin glue, formed by polymerizing fibrinogen with thrombin and calcium, which was used to improve skin wound healing in a rat model in 1970 [1]. Because of the low concentration of fibrinogen in plasma, the stability and quality of fibrin glue were low. A few years later several research works proposed an upgraded concept for the use of blood extracts, termed “platelet-fibrinogen-thrombin mixtures” or “gelatin platelet - gel foam” [2,3]. In this new concept, the fibrin glues were presenting a significant concentration of platelets within the final preparation. The idea was first to reinforce naturally the fibrin gel, and also to combine the healing properties of the platelets with those of the fibrin. This improvement allowed to prepare more natural products, integrating more natural blood constituents as it should. These products were the...

Journal of Surgery -  JuniperPublishers Abstract Percutaneous dilatational tracheostomy (PDT) under bronchoscopy and ultrasonography is safe and effective. Although cuff puncture is a known adverse event during PDT, a saline-filled endotracheal tube cuff might enhance ultrasound images and act as a target for endotracheal puncture. Using a novel technique, the saline-filled cuff can be identified and adjusted to the puncture location under ultrasound. Once saline is withdrawn through the puncture needle, the endotracheal tube is placed distally for detachment; the needle tip remains in the trachea for guidewire insertion. Use of dye-mixed saline, a tube exchanger during cuff puncture, and distal tube placement enables effective PDT. Keywords:  Saline-filled cuff; Percutaneous Dilatational Tracheostomy; PDT Go to Introduction Percutaneous dilatational tracheostomy (PDT) is commonly performed in the intensive care unit. Numerous studies have demonstrated the s...

Journal of Surgery -  JuniperPublishers Introduction In March 1940 Dr. Whipple performed the first one-stage pancreaticoduodenectomy (PD) [1]. This has been adopted as the standard procedure for treating resectable pancreatic head tumors. Although the 90-day mortality post-PD has improved over the last 20 years [2], recent reports from the United State and Germany confirmed that 90-day mortality still higher than 7% [3,4]. In Japan nationwide in-hospital mortality of 2.8% post-PD has been reported [5]. Authors reported a limited series of mortality free PD in the literature [6-8]. However, it’s proved hard to replicate this result even at centers of excellence [9]. Many risk factors have been linked to both 30-day and 90-day mortality following major pancreatic resections [3-5]. Modifying some of these factors led to the reduction in post-PD mortality, for instance the evidence-based hospital referral recommendations in the United State [2]. Further understanding of the ...

Journal of Surgery -  JuniperPublishers Abstract Giant cell angiofibroma (GCA) is a benign mesenchymal tumor originally described in the orbital region. More and more extraorbital GCA is being reported. Herein, we describe an extraorbital GCA in the right inguinal region clinically and radiologically mimicking irreducible inguinal hernia. Keywords:  Giant cell angiofibroma; Orbital; Extraorbital; Inguinal Go to Introduction Giant cell angiofibroma (GCA) is a rare mesenchymal neoplasm, most commonly arising in the soft tissues near the orbit. Recently, several cases of extraorbital GCA have been reported, including submandibular, parascapular region and posterior mediastinum [1-3]. GCA is a distinctive tumor that was originally described in 1995 by Dei Tos et al. [1,4] who reported seven cases of this unusual tumor involving the soft tissue of the orbit. Until 2014 twenty six cases of extraorbital GCA were reported, out of which only three cases were of groin...